URSEA and AMBA Enrollment - Dental & Vision Benefits for Retired School Employees in UT

NEW BENEFITS FOR MEMBERS:
TAKE ADVANTAGE OF IT!

Use your doctor or save up to 50% in-network

400,000 dental & 36,000 vision providers in-network

Yearly maximums up to $2,500.00

No waiting periods on covered services

ENROLL NOW

Your Teeth & Eyes
Will Say Thanks!

Utah Retired School Employees Association (URSEA) knows Retired School Employees like you. AMBA knows insurance. Together we can provide you with the dental and vision plans you need to keep your teeth and eyes healthy now and for years to come.

Dental Plans That Fit Your Budget:

Keep your dentist or choose an In-Network dentist and save
Over 400,000 providers to choose from, whether home or away
No waiting period on covered services – get access right away
Covers exams, cleanings, fillings, crowns, and more
High annual maximum that can increase after one year

Enroll In A Dental Plan:

Standard Dental Plan:

from $49.86 /month

unselect plan

Member	$49.86/month
Member +1	$104.25/month
Member +Family	$146.86/month

Deductible: (per year & per person) (waived for Preventative services)	$75
Annual Maximum: (per year & per person)	$1500

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Dental Rewards

Each year you submit at least one dental claim and keep your total amount of benefits paid under $500, you qualify to carry over $250 in benefit dollars to the following year.

With your maximum carry over of $1000 your Annual Maximum can be $2500.

Preventative SERVICE:
Covers up to 100%

Routine Cleanings
Routine Oral Exams

Basic SERVICE:
Covers up to 80%

Denture Repair
Fillings
X-rays

Major SERVICE:
Covers up to 50%

Crown Repair
Crowns
Dentures
Endodontics (root canals)
General Anesthesia
Oral Surgery
Periodontics (gum disease)
Extractions

Use your current dentist OR Save 25-50% with a dentist in our network. Find a dentist

(note: Enter zip, select city & state, and Classic PPO network.)

Details may vary based on start date. Please note it may take 10-15 days to process your enrollment. You will receive a ‘welcome to the program’ letter which will include your group number and carrier details. Please consult your policy as the final ultimate source of covered services and program details.
Rates valid from 1 January, 2024 to 31 December, 2025.

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Vision Plans With A Clear Difference:

Get quality coverage on the vision services you need:

Thousands of eye doctors nationwide
Covers in & out of network
Eyeglasses, contact lenses and more

Enroll In A Vision Plan:

Choice Vision Plan:

from $14.70 /month

unselect plan

Member	$14.70/month
Member +1	$28.12/month
Member +Family	$31.25/month

Exam Copay:	$15
Frames Copay:	$25
Frames Allowance: $170 for featured frames	$150
Contacts Allowance:	$150

Quality Coverage With Low Copays

WellVision Exam every 12 months with $15 copay.
Contact Lens Exam every 12 months
Glasses with a $25 copay, 20% savings on additional glasses.
Lenses every 12 months: 100% coverage on most
Frames every 24 months: up to $170, then 20% off
Up to 25% savings on anti-reflective & UV coating

Find Your Eye Doctor

Use the largest independent doctor network in the country plus retailers you know:

Plus generous out-of-network reimbursements.

Exam up to $45
Lined Trifocal Lenses up to $65
Frame up to $70
Progressive Lenses up to $50
Single Vision Lenses up to $30
Contacts up to $105
Lined Bifocal Lenses up to $50

Details may vary based on start date. Upon enrollment you will receive a ‘welcome to the program’ letter then you will receive your full policy documents and ID cards. Please consult your policy as the final ultimate source of covered services and program details.